| NPI | 1306415203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA SPRUNG Outpatient Therapist 262-442-8433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2021-06-23 |